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Home My WebLink About2017-00294 - windows CITY OF ORONO � * 2017 - 00294 * 2']50 KELLEY PARKWAY DATE ISSUED: 03/3U2017 ORONO,MN 55356- ��i� (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2879 FARVIEW LA PIN : 04-117-23-34-0002 LEGAL DESC : FARVIEW ' : LOT O11 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIO�1 TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 14,933.00 NOTE: REPLACE(4)WINDOWS APPLICANT PERMIT FEE SCHEDULE 278.77 � � STATE SURCHARGE(VALUATION) 7.47 HOME DEPOT AT HOME SERVICES MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY SUITE 30 ATLANTA,GA 30339- TOTAL 288.24 (952)345-6057 Payment(s) Minnesota State License#:BUIL-20268257 CHECK '77384 288.24 OWNER KELLEY,TYLER&ASHLEY 2879 FARVIEW LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of Iaws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit wil! expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � C� ` � l -� � , �1 , �7 Applicant Permitee Signature ate Issued By gnature Date City of Orono Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ' ' � Q�^ Mailing Address: ��7_��,�,1 T'�� PO Box 66 ��CE�VED Permit number: Crystal Bay, MN 5 0066 Date received: � � StreetAddress: MAR 3 � �� Received by: ti � 2750 Kelley Parkway Plan review fee: F L Orono, MN 55356 �"�k�stjo�`�' C��(pF ORONO Total Fee: �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: ' / �,, Job Site Address: o�l� 7g t'rll/�'ll/�(� LY/ . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless a,oplicant demonstrates s��ffir.iPn�nn-.crre parking is available. Non-permitted events will not be allowed. CONTRACTC Home Depot �`SA, Inc. Name: 2455 Paces Ferry Road State License Atlanta, GA 30339 Expiration Date: Lead Certifica Phone 763-542-8826 Ex iration Date: � 3I ��9 (for work o► Lic # BC 147263 Exp. 3/31/2018 �«17�2' � p y -� 'Z� Phone: (cell) (office)�S2 �j�{ -�nQ�7�,�, ;v Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: \U 11� @� et"I�YI`�S . C<1YYl PROPERTY OWNER INFORMATION: Elder Jones Permit Service Name: - � 1120 East 80th street, Ste 211 Phone (day): -;�/ Bloomington, MN 55420 Address: s�y�� -5� ++►�a� I �e.rvr��-t- Email and/or Fax: ��S �-a�dLY'e55 � �-��U'^"`" - PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �;Window(s)� www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: �' Date: .3� �l� Owner's Signature: Date: Last Updated:January 2016 2�� DATE TIME✓ CITY OF ORONO c �iN INSPECTION NOTICE SCHEDULED t- � PERMIT NO. ~ ��Z �COMPLETED �Ga��.� ADDRESS �� OWNER TELEPHON �� g�µ� CONTRACTOR �� DESCRIPTION � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � � � W a � / �•vi�r�r,.� ��/ - G-G. - r�.M.�.�„ o - � d� ��t�lEao�s Ut o.a,c � �`r �.S f��c o �p - � � ofL�t �d h?��S�ur2 /SS�e�� n/�i�Uc.� Q I��iO� AG/h�-t Gr. ,(Ol� tarl6:/ I�je� de/�-'�'t. 2 G�D�i�� O t' S.cQ.� �'�2Q� � 4 r�'� �►/�i.c"cS T � �I'c�o� /1G�r� �ac � � wtd�5 t c• /c - 1%L�r k S�o�.- � �Q �� p/ �n� �c�(pr" �1'1 �e�.[!r•�L .L Gc�/ c..� rQ,��s�C�r[t �s to � r�e-4�t W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � EFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerfContractor on site: � � Inspector. White CopyAnspector's File Canary CopylSMe Notice